Name

First Name

Last Name

Indicate your level of interest in church planting PRIOR to taking this course:

1 (Low)

2

3

4

5

6

7

8

9

10 (High)

Indicate your level of interest in church planting AFTER taking this course:

1 (Low)

2

3

4

5

6

7

8

9

10 (High)

Rate how interesting the CONTENT of this class was to you:

1 (Not at all)

2

3

4

5

6

7

8

9

10 (Extremely)

Did you or do you plan to teach this course in a group or classroom setting?

Yes

Maybe

No

Are you a church planter?

Yes, I have already planted a church.

Yes, I am planning on planting a church within the next 2 years.

No, I do not plan on planting a church at this time.

I am currently part of a church plant core team.

What is the approximate size of the church you attend or are a member?

1-50

51-100

100-199

200-499

1,000-3,000

more than 3,000